Provider Demographics
NPI:1053574301
Name:NUCLEAR MEDICINE ASSOCIATE,P.S.C.
Entity type:Organization
Organization Name:NUCLEAR MEDICINE ASSOCIATE,P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SERPA PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-844-2435
Mailing Address - Street 1:PO BOX 800389
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0389
Mailing Address - Country:US
Mailing Address - Phone:787-844-2435
Mailing Address - Fax:
Practice Address - Street 1:AVE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:HOSPITAL CRISTO REDENTOR
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00785
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR011786207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1033190426OtherNPI
PR1710962204OtherNPI